Merge branch 'trunk' into fix_gha

Gemfile.lock

@@ -1,6 +1,6 @@
 GIT
   remote: https://github.com/ideacrew/aca_entities.git
-  revision: 065aaba30717a0f4cc93d25d0b0accf7f35f03d4
+  revision: c49743bb104bd3471a58c6ffc148283027f2af46
   branch: trunk
   specs:
     aca_entities (0.10.0)

app/helpers/date_helper.rb

@@ -0,0 +1,16 @@
+# frozen_string_literal: true
+
+# Helper methods for date-related calculations
+module DateHelper
+  def mid_month_end?(end_on, month)
+    ends_this_month = end_on.month == month
+    last_day_of_month = Date.new(end_on.year, month, -1)
+    (end_on.day != last_day_of_month.day) && ends_this_month
+  end
+
+  def eom_end?(end_on, month)
+    ends_this_month = end_on.month == month
+    last_day_of_month = Date.new(end_on.year, month, -1)
+    (end_on == last_day_of_month) && ends_this_month
+  end
+end

app/models/data_stores/contract_holder_subject.rb

@@ -16,9 +16,12 @@ class ContractHolderSubject
 
     index({ primary_person_hbx_id: 1 })
     index({ status: 1 })
-    index({ 'request_event.timestamp': 1 }, { name: "request_event_timestamp_index" })
-    index({ 'response_event.timestamp': 1 }, { name: "response_event_timestamp_index" })
-    index({ 'transmit_events.timestamp': 1 }, { name: "transmit_events_timestamp_index" })
+    index({ request_event: 1 }, { name: "request_event" })
+    index({ response_event: 1 }, { name: "response_event" })
+    index({ transmit_events: 1 }, { name: "transmit_events" })
+    index({ "response_event.body" => 1 })
+    index({ "response_event.status" => 1 })
+    index({ contract_holder_sync_id: 1, "response_event.body" => 1, "response_event.status" => 1 })
 
     scope :by_primary_hbx_id, ->(hbx_id) { where(primary_person_hbx_id: hbx_id) }
 

app/models/insurance_policies/aca_individuals/enrollment.rb

@@ -7,6 +7,7 @@ class Enrollment
       include Mongoid::Document
       include Mongoid::Timestamps
       include DomainModels::Domainable
+      include ::DateHelper
 
       has_many :enrollments_tax_households,
                class_name: 'InsurancePolicies::AcaIndividuals::EnrollmentsTaxHouseholds',
@@ -59,15 +60,18 @@ def enrollment_end_on
         end_on.present? ? end_on : insurance_policy.start_on.end_of_year
       end
 
-      # rubocop:disable Metrics/AbcSize
       def pre_amt_tot_values(enrolled_thh_people, calendar_month)
-        if insurance_policy.term_for_np && insurance_policy.policy_end_on.month == calendar_month
-          format('%.2f', 0.0)
-        else
-          pre_amt_tot_month = enrolled_thh_people.map { |mem| mem.premium_schedule.premium_amount.to_f }.sum
-          pre_amt_tot_month = (pre_amt_tot_month * insurance_policy.insurance_product.ehb).to_f.round(2)
-          format('%.2f', pre_amt_tot_month)
+        if insurance_policy.term_for_np
+          end_on = insurance_policy.end_on
+          next_month = calendar_month == 12 ? 1 : calendar_month + 1
+          # if npt policy ends on the last day of the month or mid month next month
+          # set to 0 as we are in the first or second (for uqhp) grace period month
+          gpm = eom_end?(end_on, calendar_month) || mid_month_end?(end_on, next_month) || mid_month_end?(end_on, calendar_month)
+          return format('%.2f', 0.0) if gpm
         end
+        pre_amt_tot_month = enrolled_thh_people.sum { |mem| mem.premium_schedule.premium_amount.to_f }
+        pre_amt_tot_month = (pre_amt_tot_month * insurance_policy.insurance_product.ehb).to_f.round(2)
+        format('%.2f', pre_amt_tot_month)
       end
 
       # Fetch eligible enrollees based on tax household members.
@@ -99,7 +103,6 @@ def pediatric_dental_premium(enrollments_for_month, tax_household_members, calen
                                                                           health_enrolled_people: eligible_enrollees,
                                                                           month: calendar_month }).value!.to_f
       end
-      # rubocop:enable Metrics/AbcSize
 
       def enrolled_member_by_hbx_id(hbx_id)
         [[subscriber] + dependents].flatten.detect do |enrollee|

app/models/insurance_policies/aca_individuals/insurance_policy.rb

@@ -7,6 +7,7 @@ class InsurancePolicy
       include Mongoid::Document
       include Mongoid::Timestamps
       include DomainModels::Domainable
+      include ::DateHelper
 
       has_many :enrollments, class_name: 'InsurancePolicies::AcaIndividuals::Enrollment'
 
@@ -187,8 +188,16 @@ def fetch_enrollments_tax_households(enrs_for_month)
       end
 
       def fetch_slcsp_premium(enrs_for_month, calendar_month, tax_household = nil, aptc_tax_credit = nil)
+        if term_for_np
+          end_on = policy_end_on
+          next_month = calendar_month == 12 ? 1 : calendar_month + 1
+          # if npt policy ends on the last day of the month or mid month next month
+          # set to 0 as we are in the first or second (for uqhp) grace period month
+          gpm = eom_end?(end_on, calendar_month) || mid_month_end?(end_on, next_month) || mid_month_end?(end_on, calendar_month)
+          return format('%.2f', 0.0) if gpm
+        end
+
         return format('%.2f', 0.0) if aptc_tax_credit.blank? || aptc_tax_credit.to_f.zero?
-        return format('%.2f', 0.0) if term_for_np && policy_end_on.month == calendar_month
 
         enr_thhs = fetch_enrollments_tax_households(enrs_for_month)
         slcsp_premium = enr_thhs.map(&:household_benchmark_ehb_premium).compact.sum
@@ -202,10 +211,10 @@ def fetch_slcsp_from_tax_household(tax_household, enr_thhs)
         return 0.0 unless enr_thhs.any? { |enr_thh| enr_thh.tax_household.is_aqhp == true }
 
         tax_filer = fetch_tax_filer(tax_household)
-        enr_thh_for_month = enr_thhs.detect do |enr_thh|
+        enr_thh_for_month = enr_thhs.select do |enr_thh|
           enr_thh.tax_household.is_aqhp &&
             enr_thh.tax_household.tax_household_members.map(&:person_id).include?(tax_filer&.person_id)
-        end
+        end.max_by { |enr_thh| enr_thh.enrolled_members_tax_household_members.count }
 
         return 0.0 if enr_thh_for_month.blank?
 

app/operations/insurance_policies/aca_individuals/insurance_policies/construct_cv3_payload.rb

@@ -10,6 +10,7 @@ module InsurancePolicies
       # Operation to create insurance policy
       class ConstructCv3Payload
         include ::FloatHelper
+        include ::DateHelper
         send(:include, Dry::Monads[:result, :do])
 
         def call(params)
@@ -414,6 +415,7 @@ def construct_annual_premiums(months_of_year)
         end
 
         def construct_coverage_information(insurance_policy, covered_individuals, tax_household)
+          has_applied_aptc = false
           (1..12).collect do |month|
             enrollments_for_month = insurance_policy.enrollments_for_month(month, insurance_policy.start_on.year)
             if insurance_policy.aasm_state == "canceled"
@@ -430,6 +432,12 @@ def construct_coverage_information(insurance_policy, covered_individuals, tax_ho
               next unless any_thh_members_enrolled?(tax_household, enrollments_for_month)
               next if enrollments_tax_household_for_month_empty?(enrollments_for_month, tax_household)
 
+              aptc_tax_credit = insurance_policy.applied_aptc_amount_for(enrollments_for_month, month, tax_household)
+              has_applied_aptc = true if aptc_tax_credit.to_f > 0.0
+
+              # if npt and mid month end date, do not include that month if aqhp
+              next if insurance_policy.term_for_np && mid_month_end?(insurance_policy.end_on, month) && has_applied_aptc
+
               if tax_household.is_aqhp && covered_individuals.present?
                 update_covered_individuals_end_date(covered_individuals, enrollments_for_month, tax_household)
               end
@@ -438,7 +446,6 @@ def construct_coverage_information(insurance_policy, covered_individuals, tax_ho
               pediatric_dental_pre = enrollments_for_month.first
                                        &.pediatric_dental_premium(enrollments_for_month, thh_members, month)
               pre_amt_tot = calculate_ehb_premium_for(insurance_policy, tax_household, enrollments_for_month, month)
-              aptc_tax_credit = insurance_policy.applied_aptc_amount_for(enrollments_for_month, month, tax_household)
 
               slcsp = insurance_policy.fetch_slcsp_premium(enrollments_for_month, month, tax_household, aptc_tax_credit)
               total_premium = format('%.2f', (pre_amt_tot.to_f + pediatric_dental_pre))
@@ -455,7 +462,15 @@ def construct_coverage_information(insurance_policy, covered_individuals, tax_ho
         end
 
         def calculate_ehb_premium_for(insurance_policy, tax_household, enrollments_for_month, calendar_month)
-          return format('%.2f', 0.0) if insurance_policy.term_for_np && insurance_policy.policy_end_on.month == calendar_month
+
+          if insurance_policy.term_for_np
+            end_on = insurance_policy.end_on
+            next_month = calendar_month == 12 ? 1 : calendar_month + 1
+            # if npt policy ends on the last day of the month or mid month next month
+            # set to 0 as we are in the first or second (for uqhp) grace period month
+            gpm = eom_end?(end_on, calendar_month) || mid_month_end?(end_on, next_month) || mid_month_end?(end_on, calendar_month)
+            return format('%.2f', 0.0) if gpm
+          end
 
           calender_month_begin = Date.new(insurance_policy.start_on.year, calendar_month, 1)
           calender_month_end = calender_month_begin.end_of_month
@@ -498,7 +513,7 @@ def fetch_member_ehb_premium(enrolled_member, premium_schedule, insurance_policy
 
         def get_enrolled_members_by_tax_household_for(enrollments_for_month, tax_household)
           enrs_thhs = fetch_enrollments_tax_households(enrollments_for_month)
-          valid_enr_thh = if enrs_thhs.size > 1
+          valid_enr_thh = if enrs_thhs.size > 1 && tax_household.is_aqhp
                             enrs_thhs.select do |enr_thh|
                               valid_enrollment_tax_household?(enr_thh, tax_household) && enr_thh.tax_household.is_aqhp
                             end
@@ -563,7 +578,7 @@ def fetch_thh_members_from_enr_thhs(enr_thhs, tax_household)
           return tax_household.tax_household_members unless tax_household.is_aqhp
 
           enr_thhs_for_month = enr_thhs.select do |enr_thh|
-            enr_thh.tax_household.is_aqhp && valid_enrollment_tax_household?(enr_thh, tax_household)
+            valid_enrollment_tax_household?(enr_thh, tax_household)
           end
           enrolled_thh_members_person_ids = enr_thhs_for_month&.flat_map(&:tax_household)
                                          &.flat_map(&:tax_household_members)&.uniq(&:person_id)

spec/models/insurance_policies/aca_individuals/enrollment_spec.rb

@@ -12,6 +12,16 @@
   let(:insurance_policy) do
     FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1), end_on: Date.new(year, 12, 31))
   end
+  let(:insurance_policy_npt_eom) do
+    FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1),
+                                         end_on: Date.new(year, 5, 31),
+                                         term_for_np: true)
+  end
+  let(:insurance_policy_npt_mid_month) do
+    FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1),
+                                         end_on: Date.new(year, 3, 3),
+                                         term_for_np: true)
+  end
   let(:subscriber) { FactoryBot.build(:enrolled_member, person: subscriber_person) }
   let(:dependents) do
     [
@@ -29,6 +39,24 @@
                                    dependents: dependents)
   end
 
+  let(:enrollment_npt_eom) do
+    FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 1),
+                                   effectuated_on: Date.new(year, 1, 1),
+                                   end_on: Date.new(year, 5, 31),
+                                   insurance_policy: insurance_policy_npt_eom,
+                                   subscriber: subscriber,
+                                   dependents: dependents)
+  end
+
+  let(:enrollment_npt_mid_month) do
+    FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 1),
+                                   effectuated_on: Date.new(year, 1, 1),
+                                   end_on: Date.new(year, 5, 31),
+                                   insurance_policy: insurance_policy_npt_mid_month,
+                                   subscriber: subscriber,
+                                   dependents: dependents)
+  end
+
   let(:tax_household_members) do
     [
       double('InsurancePolicies::AcaIndividuals::TaxHouseholdMember', is_medicaid_chip_eligible: true, person: subscriber_person),
@@ -91,4 +119,24 @@
       end
     end
   end
+
+  describe '#pre_amt_tot_values' do
+    context 'insurance_policy term_for_np is true and eom end date' do
+      it 'returns 0.00' do
+        expect(enrollment_npt_eom.pre_amt_tot_values([subscriber], 5)).to eq('0.00')
+      end
+    end
+
+    context 'insurance_policy term_for_np is true and next month mid month end date' do
+      it 'returns 0.00' do
+        expect(enrollment_npt_mid_month.pre_amt_tot_values([subscriber], 2)).to eq('0.00')
+      end
+    end
+
+    context 'insurance_policy term_for_np is true and mid month end date' do
+      it 'returns 0.00' do
+        expect(enrollment_npt_mid_month.pre_amt_tot_values([subscriber], 3)).to eq('0.00')
+      end
+    end
+  end
 end